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Home My WebLink About56572D - DavisCAMA / DREDGE & FILL 'ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources J OQ .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �2 EN -Wes attached. t Name [1/c Ai.; y Project Location: County ?/I o"'5 4V/c11(� 1 3 Z CE'c e 7' _ Street Address/ State Road/ Lot # s w, / o,-- 9rp State _ zip_� 02 41 IV Fax # ( ) ed Agent iI , c f, ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: Subdivision City lJ�a,�,� -sl r�3 Pam! zip Phone # ( ) River Basin Adj. Wtr. Body (1,414 L U4r Body Wtr. (Scale: / -, :k)leneth / GI x I/ ■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■ igth ■■EE■�00■�■��nE■E�EE■E�OE■■■E■ nber ■■E■■■■■■■■■■■■olmmm■■■■■■■■■■■■■■■■ distance offshore ■E■■■■■■■■■E■i�■�iiii��ii■�■■■■■■■■■■ ■ x distance offshore ■■■■■■■■■■■■■ ■■■■■M117M■■■■■■■■■■■�■ annel ■■■■■■■■■■■�■ ■■�■l ii■■■■■■■■■■■■■■ INN �E�L.Nom■101A!■■m■■■ENNENNI■ ic yards ■�■■■■■■■■■■■■■■� I'■■■■■■■■■■■■■■■■■■■ Boatlift ■�■■■■�■■■■■■■■� 1■ ■■■■�■■■■■■■■■■■■ ■MEN ■MEMO ■■M■■■N �E ■■■■■■■■■■■■■■■■■■ ■■■ �l11■I�1EE0■ NN N m■■o■ Aldozing_■■■■ ■■■■ ■�■ S Mill mmmummomom, mmHg [JMEEli■■■®rl�w®I■li�� a;l�u INEENNOME■■ ■■®■E:■■■ ■■�■■EfroE■O■■■■11■■■■■■■■■■ ■■■■■■■■NO■■■■■■11■ME■■E■■■■ Length_--- ■�■��N� ■■■■■■■■■■■■�■11■■M■■■■■■■ not sure yes n . ■■■■■■■■■■�■■■■■■■■■E■11■■■■■■■■■■ O■■■■■■M■■■■■■■O■■■■■■■■■IIO■O■■O■■■■ not sure yes n IS No am Soup yes no ■■M■■■■■i■■■■■■■■■frO■■■■OIN■■E■■■■EEO ttached: yes M■■ ■■■■ ■■�■■■■■■■■■■1■MOO■■■■■■ ig permit maybe required by: 10C'PL1.1 _Yr-Z P 6PAc /i ❑ See note on back regarding River Basin ru t4/ZUIU UH:49 FAA 843Uti549153 will .441 %v'_.' . ,,.:::L 7i h0 7990`-'b NACU GRI"CE CON 4@OQY/01 PAGE 0] North Carolina Departrr.,-' -` EnArtrticnnt and Natural Resources Division or comm, Govemor c►ire�ood ABC,- r -► U .. EfVT`:� .C,, 7_Msit�R,, name of Proppr+y fig •� .gf.::ya�y For i�r:Trc l- 11�11 rl: A Own Vw, is, a l�1ylHIP� 1� �S: Phone Number Dw Fr.; SPCI " ice of .�l-r,.ir.Z.4 Aild ii Tw t'.'r orojeCE: n � I cew' ; that I have authorized :I -re= mart ils:ev zt aove ►o act!o^, mV h5l,6alf, for the p jrpose of applying for and Waining ail AMA Permits necessary to install or onsttruct the following ,:Activity)* (my property located) at �' r�,. ,y:��tit_-- V-i _ This certification is valid thrU (date) Property Owner Signature Date > cd ih,-;� �- CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL 1VIANNAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT fame of Property Owner: address of Property: (Wi -6ti1 rQ..O C_ (Lot or Street #, Street or Road, Cittyy & County) applicant's phone #. Mailing Address: OQxr►��`� hereby certify that I own property adjacent to the above referenced property. The individual applying for this per ias described to me as shown on the attached drawing the development they are proposing. A description of drawi with dimensions must be provided with this letter. �— I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC? in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive I Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no ob'ection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distanc( 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial'the appropriate blank below.) I do wish to waive the 15' set back requirement. l/ I do not wish to waive the 15' set back requirement. (Property Own r Information) Signature Print or Type Name q32- G�-grucAw c,� M (Riparian Property uwner information) I ��rI { CJ.0 ! 42R C`w� lfl Signature Print or Type Name Mailing Address Mailing Address 4 licant: PC,-/Jy d' cu 1%VV1 121l1�/o Permit #: S 5 ^/ ^7 _P cribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremeni id in your Habitat code sheet. itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated fina disturbance. Excludes any restoration andh temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other L) / e) l ✓ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other 0 BRUNSWICK COUNTY ING PH.910-579-9095 6618 BEACH DRIVE SW OCEAN ISLE BEACH, NC 28469 PAYTO THE j� \ ORDER OF mBRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BST.COM � FOR cia and ( 3 DATE 11500007 27F,11' i:053 1011 2 L11:0005 1999 265 29111 66- ■ Complete itt=ms 1, 2, and 3. Also complete item 4 if Restrictpd Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: C� I� �c 257,177 A. nt Cle r/y) B. i `1/�I j 1SiX- C. ture ❑ Agent ❑ Addressee D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type J•'p'l/Certified Mail ❑ press Mail ❑ Registered turn Receipt for Merchandise ❑ Insured Mail a C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Copy - 70 0 9 1410 0001 8701 6849 5 Form J611, July 1999 Domestic Return Receipt . Postal Service T,., RTIFIED MAILr,., RECEIPT estic• Mail Only; No Insurance Coverage Provided) Postage $ Certified Fee r im Receipt Fee (� nent Required) ,d Delivery Fee nent Required) Wage & Fees lG� - , n t. N; No.. ,11J C1i l� Postmark 2 G 20C r 102595-00-M-0952 Postal Domestic .•Provided) CO CJ Postage $ED r 1 Certified Fee �j U 0 l7 C3 Return Receipt Fee (Endorsement Required) Postmark O r3 Restricted Delivery Fee (Endorsement Required) U 2U I() rl}, -r Total Postage & Fees $Er O............c t T \'1Q 1•................... F rL et, Apt. No O Box No.'�I �j ,t r r 7� CZy nn/ I L 1" j 1//Y -------•-• ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Received a tM by (Please Print Clear` J B. Date of Delivery A11, , /i-?.9//) C. Signature 0 t U gent Addressee 1. Article Addressed to Is delivress different from item 1? ❑ Yes